Baku Psycho- Neurological Dispensary, Baku Azerbaijan.
Eur Psychiatry. 2012 Jun;27 Suppl 2:S27-31. doi: 10.1016/S0924-9338(12)75705-X.
A self-reported Zung Self-Rating Depression Scale (ZSDS) is recognized as a reliable and valid measure for assessment of depressive symptoms, applicable cross-culturally. The aim of the study was to adapt ZSDS for application in the bilingual Azerbaijani population.
ZSDS was translated into Azerbaijani and Russian. Two pilot studies on small samples (n=30 and n=45) were conducted to improve the scale's acceptability. A readability study was conducted on a bigger sample of depressed subjects (n=55) and healthy controls (n=120). Chronbach's alpha for the total scale, item-test correlations, alpha if item deleted, and sensitivity and specificity at various cut-off levels were calculated.
The drop-out rate was 83.3% at the first pilot study due to problems of comprehension of item 5 and culturally unacceptable wording of item 6. After rewording of the items drop-out reduced to 20%. On the reliability study Chronbach's alpha for the total scale was 0.8727, and item-test correlations for the most individual items were satisfactory. An optimal cut-off point was 45 points with sensitivity=90.91%, specificity=80.83%.
Adaptation of the Zung Self-Reported Depression Scale improved cultural acceptability of the scale in the context of the Azerbaijani study population.
自评 Zung 抑郁自评量表（ZSDS）被认为是评估抑郁症状的可靠且有效的工具，具有跨文化适用性。本研究旨在将 ZSDS 改编为适用于双语阿塞拜疆人群的量表。
ZSDS 被翻译成阿塞拜疆语和俄语。在两个小样本（n=30 和 n=45）的试点研究中进行了测试，以提高量表的可接受性。在一个更大的抑郁患者样本（n=55）和健康对照组（n=120）中进行了可读性研究。计算了总量表的克朗巴赫α系数、项目-测试相关性、项目删除后的α系数以及在不同截断水平的敏感性和特异性。
在第一个试点研究中，由于第 5 项理解问题和第 6 项文化上不可接受的措辞，辍学率为 83.3%。重新措辞后，辍学率降至 20%。在可靠性研究中，总量表的克朗巴赫α系数为 0.8727，大多数个体项目的项目-测试相关性令人满意。最佳截断点为 45 分，敏感性为 90.91%，特异性为 80.83%。
在阿塞拜疆研究人群的背景下，对 Zung 自评抑郁量表的改编提高了量表的文化可接受性。
